Tomma, did you ever think there where any issues in your ankle alignments, did you have any knee pain as result of your heel kicking out.........

For a time I thought to blame my shoes....that possibly the sole (in particular the heel area) of the left shoe was going soft as the issue grew a little at a time over a couple of years. New shoes ruled that out.

I've not had any issues with my ankles and no knee pain associated with this situation....just that bothersome left heel kicking out....and I forgot to mention earlier it also led to my left knee coming closer to the top tube and on a few occasions would brush against it. With the fixed cleats (carefully adjusted) my feet-ankle-knees all track nicely, no issues with joint pain, and as noted earlier I feel a better connection to the bike.

Two likely explanations:1) your saddle is too high and your displaying right side bias... Ie favoring your dominant leg by shifting to the right to shorten the R stroke, and lengthening the L (hence left knee pain)

To fix lower your saddle 2mm at a time and see if this squares you up on your saddle

OR

2) you have a shorter right leg, therefore shimming will fix...

Therefore get someone experienced to measure both legs and compare, and shim appropriately...

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